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THE BRADLEY GARDENS

Open-data reference.

THE BRADLEY GARDENS is a for profit - limited liability company facility in SAN JACINTO, CA with 44 certified beds and a 3-star overall CMS rating. The facility has 48 deficiency records on file.

980 WEST SEVENTH STREET, SAN JACINTO, CA 92582

Phone: 9516549347

Overall Rating

3/5

Health Inspection

3/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
055598
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
44
Residents
43
In Hospital
No
County
Riverside
Last Inspection
Aug 21, 2025

Staffing Data

RN Hours
0.38 (nat'l avg: 0.68)
LPN Hours
1.35
CNA Hours
2.48
Total Nursing Hours
4.21 (nat'l avg: 3.89)
PT Hours
0.02

What the CMS Record Reveals About THE BRADLEY GARDENS

THE BRADLEY GARDENS operates 44 certified beds in SAN JACINTO, CA with approximately 43 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 48 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.21 total nursing hours per resident day (national average 3.89), with RN coverage at 0.38 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, THE BRADLEY GARDENS falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (48 most recent)

B — Pattern - No harm Aug 21, 2025 Tag: 0911

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Category: Environmental Deficiencies

F — Widespread - Minimal harm Aug 21, 2025 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 15, 2025

F — Widespread - Minimal harm Aug 21, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 21, 2025 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 21, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 15, 2025

E — Pattern - Minimal harm Aug 21, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 15, 2025

E — Pattern - Minimal harm Aug 21, 2025 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 21, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 21, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 21, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 21, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 8, 2025

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0624

Prepare residents for a safe transfer or discharge from the nursing home.

Category: Resident Rights Deficiencies

Corrected: Aug 27, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Aug 27, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0622

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Category: Resident Rights Deficiencies

Corrected: Aug 27, 2024

B — Pattern - No harm Mar 29, 2024 Tag: 0911

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Category: Environmental Deficiencies

Corrected: Apr 29, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 29, 2024

F — Widespread - Minimal harm Mar 29, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Apr 29, 2024

F — Widespread - Minimal harm Mar 29, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2024

E — Pattern - Minimal harm Mar 29, 2024 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2024

E — Pattern - Minimal harm Mar 29, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2024

E — Pattern - Minimal harm Mar 29, 2024 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2024

E — Pattern - Minimal harm Mar 29, 2024 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Apr 29, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Apr 29, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Apr 29, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 29, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Apr 29, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Apr 29, 2024

D — Isolated - Minimal harm Mar 11, 2024 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 19, 2024

B — Pattern - No harm Aug 12, 2021 Tag: 0911

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Category: Environmental Deficiencies

Corrected: Sep 13, 2021

D — Isolated - Minimal harm Aug 12, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 13, 2021

F — Widespread - Minimal harm Aug 12, 2021 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 13, 2021

D — Isolated - Minimal harm Aug 12, 2021 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 13, 2021

F — Widespread - Minimal harm Aug 12, 2021 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 13, 2021

F — Widespread - Minimal harm Aug 12, 2021 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 13, 2021

D — Isolated - Minimal harm Aug 12, 2021 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 13, 2021

D — Isolated - Minimal harm Aug 12, 2021 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Sep 13, 2021

D — Isolated - Minimal harm Aug 12, 2021 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 13, 2021

D — Isolated - Minimal harm Aug 12, 2021 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 13, 2021

D — Isolated - Minimal harm Aug 12, 2021 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 13, 2021

D — Isolated - Minimal harm Aug 12, 2021 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 13, 2021

D — Isolated - Minimal harm Aug 12, 2021 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Sep 13, 2021

D — Isolated - Minimal harm Aug 12, 2021 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Sep 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Sep 13, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 4.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 4.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 93.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 5.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 7.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 4.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for THE BRADLEY GARDENS?
THE BRADLEY GARDENS has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at THE BRADLEY GARDENS?
THE BRADLEY GARDENS reports 4.21 total nursing hours per resident day (national average: 3.89). RN hours are 0.38 per resident day (national average: 0.68).
How many beds does THE BRADLEY GARDENS have?
THE BRADLEY GARDENS has 44 certified beds with approximately 43 residents. The facility is located at 980 WEST SEVENTH STREET, SAN JACINTO, CA 92582.
Does THE BRADLEY GARDENS have any deficiencies on record?
Yes, THE BRADLEY GARDENS has 48 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has THE BRADLEY GARDENS received any fines or penalties?
No, THE BRADLEY GARDENS has no fines or penalties on record.
Who owns THE BRADLEY GARDENS?
THE BRADLEY GARDENS is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was THE BRADLEY GARDENS last inspected?
The most recent health inspection for THE BRADLEY GARDENS was on Aug 21, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for THE BRADLEY GARDENS?
THE BRADLEY GARDENS is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial